| NPI | 1376725523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 372600000X Adult Companion |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2014-06-20 |